LAURA ELIZABETH TIETJEN

GLENDALE, AZ
NPI1023061074
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: AZ  6773)
Enumeration Date2006-05-19
Last Update Date2010-10-18
Business Address
-- LAURA ELIZABETH TIETJEN MPT OCS
20325 N 51ST AVE STE 146
GLENDALE, AZ 85308-5674
Phone number: 623-249-3216
Mailing Address
-- LAURA ELIZABETH TIETJEN MPT OCS
12917 W CAMPBELL AVE
LITCHFIELD PARK, AZ 85340-5183
Phone number: 253-228-6828